
  	<table width="676" border="0" cellpadding="3" cellspacing="0">
  <tr>
	  <td colspan="4"><img src="/images/print/globelogo.png" alt="" width="120" height="50" border="0" /></td>
    <td align="right">Reference no.: <?php echo $application['ref_number'] ?></td>
	  </tr>

	<tr>
	  <td colspan="5" style="background-color:#00aeef;"><h1>BULK SERVICE APPLICATION</h1></td>
	  </tr>

	<tr>
	  <td colspan="5" valign="top" style="padding:10px 10px;">




<table width="650" border="0" align="center" cellpadding="0" cellspacing="0">
  <tr>
    <td width="180" height="40" align="left" valign="middle">Bulk Service</td>
    <td width="470" align="left" valign="middle">
      <div style="border-bottom:1px solid #2f63af; height:15px"><?php echo (isset($application['bulk_service'])) ? $application['bulk_service'] : '' ?></div>
    </td>
  </tr>
  <tr>
    <td height="40" align="left" valign="middle">Max. # of Authorized 	</td>
    <td align="left" valign="middle">
      <div style="border-bottom:1px solid #2f63af; height:15px"><?php echo (isset($application['max_authorized_recipients'])) ? $application['max_authorized_recipients'] : '' ?></div>
    </td>
  </tr>
  <tr>
    <td align="left" valign="middle">Distribution Type (tick one)<br/>
    	&nbsp;&nbsp;&nbsp;<input name="Equal" type="checkbox" value="" <?php echo (strtoupper($application['distribution_type']) == 'EQUAL') ? 'checked="checked"' : '' ?> />Equal<br/>
        &nbsp;&nbsp;&nbsp;<input name="Priotization" type="checkbox" value="" <?php echo ($application['distribution_type'] == 'PRIORITIZATION') ? 'checked="checked"' : '' ?> />Prioritization    </td>
    <td align="left" valign="middle">&nbsp;</td>
  </tr>
  <tr>
    <td colspan="2" align="left" valign="middle" style="padding:10px 0px">
      Note: attach the postpaid numbers of the recipients. For prioritization distribution type,
      indicate the percentage of the bulk product that each postpaid number will receive.    </td>
  </tr>
  <tr>
    <td height="40" align="left" valign="middle"><span class="fl">Nominated Postpaid <br/>
      Charging Account</span></td>
    <td align="left" valign="middle">
      <div style="border-bottom:1px solid #2f63af; height:15px"><?php echo (isset($application['nominated_postpaid_charging_account'])) ? $application['nominated_postpaid_charging_account'] : '' ?></div>
    </td>
  </tr>
  <tr>
    <td height="40" align="left" valign="middle"><span class="fl">Corporate ID</span></td>
    <td align="left" valign="middle">
      <div style="border-bottom:1px solid #2f63af; height:15px"><?php echo (isset($application['corporate_id'])) ? $application['corporate_id'] : '' ?></div>
    </td>
  </tr>
  <tr>
    <td colspan="2" align="left" valign="middle" style="padding:10px 0px"><div class="b" style="font-size:18px">CONFORME:</div>

      <ul class="confor">
        <li>Availment can only be done via company's authorized representative</li>
        <li>
          Implementation period is 5 working days upon approval of signed Mobile
          Service Agreement assuming all lines are within the same bill cut-off period.
          </li>
        <li>
          The bulk service is valid for 30-days upon activation and the nominated
          postpaid charging account will be billed the full amount.
          </li>
        <li>
          Postpaid numbers of the recipients must be declared to Globe Business.
          All recipients must be Globe Enterprise customers.
          </li>
        <li>
          Postpaid numbers of the recipients must be within the same bill cut-off
          period (CORP ID must be indicated).
          </li>
        <li>
          The bulk service and charging will automatically refresh and occur every
          30-days until Globe receives cancellation request from the company's
          authorized representative. Globe must be formally informed of
          cancellation at least 5-days prior to the next bulk product cycle.
          </li>
        <li>
          The bulk service and charging will automatically refresh and occur every
          30-days until Globe receives cancellation request from the company's
          authorized representative. Globe must be formally informed of
          cancellation at least 5-days prior to the next bulk product cycle.
          </li>
        <li>There is no holding period for any bulk service availment.</li>
        <li>
          `                For data bulk service, Globe will switched lines to KB browsing. User
          should not change this to TIME browsing. Otherwise, the bulk KB data will
          not take effect.
          </li>
        </ul>

      <br/><br/>
      <table width="482" border="0" cellspacing="0" cellpadding="0">
        <tr>
          <td height="40" colspan="2" align="left" valign="middle" style="border-top:1px solid #2f63af">Signature Over Printed Name of Authorized Representative</td>
          </tr>
        <tr>
          <td width="132" height="16" align="left" valign="middle"><span class="fl" style="margin-right:20px">Date:</span></td>
          <td width="350" align="left" valign="middle"><div class="fl"  style="border-bottom:1px solid #2f63af; width:350px"></div></td>
        </tr>
        <tr>
          <td height="16" align="left" valign="middle">&nbsp;</td>
          <td height="16" align="left" valign="middle">&nbsp;</td>
        </tr>
        <tr>
          <td height="16" align="left" valign="middle"><span class="fl" style="margin-right:20px">Company Name:</span></td>
          <td height="16" align="left" valign="middle"><div class="fl"  style="border-bottom:1px solid #2f63af; width:350px"></div></td>
        </tr>
        </table>



      </td>
  </tr>
</table>




      </td>
	</tr>
	</table>